163WX0800X
Lewiston, ID
Specialty
163WX0800X
NPI
1417327214
318 Warner Dr., Lewiston, ID 83501
(208) 298-1050Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 163wx0800x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 163WX0800X